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Inv# 165825011 - Fidelity Security Life Insurance Company - 07/31/2023 (3)
Check Date.Calendar July 2023 New World Report Invoice Pay Batch All ROSTER LISTING FOR:The City of Dania BeacShould credit back next month Batch Status Posted BILLING PERIOD:July 2023 WEEKES KATHLEEN Employee + 1 $8.33 INVOICE NUMBER:165657086 Values Deduction Net Total Deduction Net Total Benefit Net TOTAL VISION PLAN EE + Employee Last Name First Name Billing Tier Plan Rate ACOSTA, RAFAEL 1.96 10.28 12.24 ACOSTA RAFAEL Employee + Family Benefit Level 1 $12.24 $0.00 ADAMS, LORI 0.70 3.68 4.38 ADAMS LORI Employee Only Benefit Level 1 $4.39 ($0.01) ALI, RICKY A 1.96 10.28 12.24 ALI RICKY Employee + Family Benefit Level 1 $12.24 $0.00 ALPHONSE, LOU 1.34 1.34 7.00 8.34 ALPHONSE LOU Employee + 1 Benefit Level 1 $8.33 $0.01 ANAYA, ALEXANDRA 0.70 3.68 4.38 ANAYA ALEXANDRA Employee Only Benefit Level 1 $4.39 ($0.01) AZCANO, ALEJANDRO 0.70 3.68 4.38 AZCANO ALEJANDRO Employee Only Benefit Level 1 $4.39 ($0.01) BALDIE, TOMMY R 1.96 10.28 12.24 BALDIE TOMMY Employee + Family Benefit Level 1 $12.24 $0.00 BATISTA, CLAUDIA 1.96 10.28 12.24 BATISTA CLAUDIA Employee + Family Benefit Level 1 $12.24 $0.00 BORDY, KATIA 0.70 3.68 4.38 BORDY KATIA Employee Only Benefit Level 1 $4.39 ($0.01) BOUTSIS, EVE 0.70 3.68 4.38 BOUTSIS EVE Employee Only Benefit Level 1 $4.39 ($0.01) BROMER, TREVIS E JR 0.70 7.00 7.70 BROMER TREVIS Employee Only Benefit Level 1 $4.39 $3.31 Corrected BROWN, ERIC 1.96 10.28 12.24 BROWN ERIC Employee + Family Benefit Level 1 $12.24 $0.00 BROWN, LOUIS 0.70 3.68 4.38 BROWN LOUIS Employee Only Benefit Level 1 $4.39 ($0.01) BROWN, RODRICK 1.34 1.34 7.00 8.34 BROWN RODRICK Employee + 1 Benefit Level 1 $8.33 $0.01 BROWNE, JOHNATHAN 1.34 1.34 7.00 8.34 BROWNE JOHNATHAN Employee + 1 Benefit Level 1 $8.33 $0.01 CANGIALOSI, JOSEPH S 0.70 3.68 4.38 CANGIALOSI JOSEPH Employee Only Benefit Level 1 $4.39 ($0.01) CHEN, MICHAEL K 1.34 1.34 7.00 8.34 CHEN MICHAEL Employee + 1 Benefit Level 1 $8.33 $0.01 COLLINS, ROGER J JR 0.70 3.68 4.38 COLLINS ROGER Employee Only Benefit Level 1 $4.39 ($0.01) COOK, RONALD L 1.96 10.28 12.24 COOK RONALD Employee + Family Benefit Level 1 $12.24 $0.00 COSTA, NATHAN J 1.96 10.28 12.24 COSTA NATHAN Employee + Family Benefit Level 1 $12.24 $0.00 CRAWFORD, RUPERT 1.96 10.28 12.24 CRAWFORD RUPERT Employee + Family Benefit Level 1 $12.24 $0.00 CROSS, JERRYLYN 0.70 3.68 4.38 CROSS JERRYLYN Employee Only Benefit Level 1 $4.39 ($0.01) DAMIS, WINDY 1.96 10.28 12.24 DAMIS WINDY Employee + Family Benefit Level 1 $12.24 $0.00 DAVILA, EDDA K 1.96 10.28 12.24 DAVILA EDDA Employee + Family Benefit Level 1 $12.24 $0.00 DAVIS, JOYCE L 0.70 3.68 4.38 DAVIS JOYCE Employee Only Benefit Level 1 $4.39 ($0.01) DE JESUS, GABRIEL 1.34 1.34 7.00 8.34 DE JESUS GABRIEL Employee + 1 Benefit Level 1 $8.33 $0.01 DIPAOLO, FRANK L 1.96 10.28 12.24 DIPAOLO FRANK Employee + Family Benefit Level 1 $12.24 $0.00 DOMINGUEZ, MARIA M 1.34 1.34 7.00 8.34 DOMINGUEZ MARIA Employee + 1 Benefit Level 1 $8.33 $0.01 DONNELLY, COLIN E 1.96 10.28 12.24 DONNELLY COLIN Employee + Family Benefit Level 1 $12.24 $0.00 DOTSON, RICKEY 0.70 3.68 4.38 DOTSON RICKEY Employee Only Benefit Level 1 $4.39 ($0.01) DRUMMOND, TAMARA 0.70 3.68 4.38 DRUMMOND TAMARA Employee Only Benefit Level 1 $4.39 ($0.01) Edge, Charles J 0.70 3.68 4.38 EDGE CHARLES Employee Only Benefit Level 1 $4.39 ($0.01) EKLE, ROBERT 0.70 3.68 4.38 EKLE ROBERT Employee Only Benefit Level 1 $4.39 ($0.01) FRANCO, JOSHUA 0.70 3.68 4.38 FRANCO JOSHUA Employee Only Benefit Level 1 $4.39 ($0.01) GAINES, TANEISHA 0.70 3.68 4.38 GAINES TANEISHA Employee Only Benefit Level 1 $4.39 ($0.01) GARDNER, KALA F 1.96 10.28 12.24 GARDNER KALA Employee + Family Benefit Level 1 $12.24 $0.00 GRANT, MITCHELL V 1.34 1.34 7.00 8.34 GRANT MITCHELL Employee + 1 Benefit Level 1 $8.33 $0.01 GREENE, DARREN D 1.96 10.28 12.24 GREENE DARREN Employee + Family Benefit Level 1 $12.24 $0.00 GUZMAN, YEIMY 1.96 10.28 12.24 GUZMAN YEIMY Employee + Family Benefit Level 1 $12.24 $0.00 HARRIS, WILLIAM G 1.34 1.34 7.00 8.34 HARRIS WILLIAM Employee + 1 Benefit Level 1 $8.33 $0.01 Henley, Mokieta L 0.70 3.68 4.38 HENLEY MOKIETA Employee Only Benefit Level 1 $4.39 ($0.01) HIRSCH, STACY 1.34 1.34 7.00 8.34 HIRSCH STACY Employee + 1 Benefit Level 1 $8.33 $0.01 HOGGINS, ERNEST 1.34 1.34 7.00 8.34 HOGGINS ERNEST Employee + 1 Benefit Level 1 $8.33 $0.01 HUCK, MICHAEL 1.96 10.28 12.24 HUCK MICHAEL Employee + Family Benefit Level 1 $12.24 $0.00 HUGHES, ANASTACIA R 1.96 10.28 12.24 HUGHES ANASTACIA Employee + Family Benefit Level 1 $12.24 $0.00 ICENHOUR, RACHEL 1.96 10.28 12.24 ICENHOUR RACHEL Employee + Family Benefit Level 1 $12.24 $0.00 IFEDI, ANTHONY 0.70 3.68 4.38 IFEDI ANTHONY Employee Only Benefit Level 1 $4.39 ($0.01) IGLESIAS GUTIERREZ, CLAUDIO 0.70 3.68 4.38 IGLESIAS GUTIERREZ CLAUDIO Employee Only Benefit Level 1 $4.39 ($0.01) JAMES, TAMARA 1.34 1.34 7.00 8.34 JAMES TAMARA Employee + 1 Benefit Level 1 $8.33 $0.01 JAMES, TAMMIE D 1.34 1.34 7.00 8.34 JAMES TAMMIE Employee + 1 Benefit Level 1 $8.33 $0.01 JELASO, MEGAN 1.96 10.28 12.24 JELASO MEGAN Employee + Family Benefit Level 1 $12.24 $0.00 JOHNSON JR, KENNITH 1.34 1.34 7.00 8.34 JOHNSON JR KENNITH Employee + 1 Benefit Level 1 $8.33 $0.01 JOHNSON, ANTOINE 0.70 3.68 4.38 JOHNSON ANTOINE Employee Only Benefit Level 1 $4.39 ($0.01) JOHNSON, BRANDON 0.70 3.68 4.38 JOHNSON BRANDON Employee Only Benefit Level 1 $4.39 ($0.01) JOLLY, CORY 1.96 10.28 12.24 JOLLY CORY Employee + Family Benefit Level 1 $12.24 $0.00 JOSEPH, PATRICK 0.70 3.68 4.38 JOSEPH PATRICK Employee Only Benefit Level 1 $4.39 ($0.01) KALLICHARAN, CARL 0.70 3.68 4.38 KALLICHARAN CARL Employee Only Benefit Level 1 $4.39 ($0.01) LAJOIE, CORINNE A 1.34 1.34 7.00 8.34 LAJOIE CORINNE Employee + 1 Benefit Level 1 $8.33 $0.01 LARIOS IBARGUEN, IBEL E 0.70 3.68 4.38 LARIOS IBARGUEN IBEL Employee Only Benefit Level 1 $4.39 ($0.01) LAWSON, RACHELLE 1.96 10.28 12.24 LAWSON RACHELLE Employee + Family Benefit Level 1 $12.24 $0.00 LEWELLEN, LORI B 1.34 1.34 7.00 8.34 LEWELLEN LORI Employee + 1 Benefit Level 1 $8.33 $0.01 LIMA, MARILANE R 0.70 3.68 4.38 LIMA MARILANE Employee Only Benefit Level 1 $4.39 ($0.01) LOTTIER, CHRISTINE A 1.34 1.34 7.00 8.34 LOTTIER CHRISTINE Employee + 1 Benefit Level 1 $8.33 $0.01 MARTIN, RALPH 1.96 10.28 12.24 MARTIN RALPH Employee + Family Benefit Level 1 $12.24 $0.00 MARTINEZ, GABRIEL 0.70 3.68 4.38 MARTINEZ GABRIEL Employee Only Benefit Level 1 $4.39 ($0.01) McDonald, Marvin JR 1.96 10.28 12.24 MCDONALD MARVIN Employee + Family Benefit Level 1 $12.24 $0.00 MCDOWELL, KEITH 0.70 3.68 4.38 MCDOWELL KEITH Employee Only Benefit Level 1 $4.39 ($0.01) MCFARLANE, DARRYL 0.70 3.68 4.38 MCFARLANE DARRYL Employee Only Benefit Level 1 $4.39 ($0.01) MCHELLON, DONIAL 1.96 10.28 12.24 MCHELLON DONIAL Employee + Family Benefit Level 1 $12.24 $0.00 MCLAREN, KRISTEN M 0.70 3.68 4.38 MCLAREN KRISTEN Employee Only Benefit Level 1 $4.39 ($0.01) MCNEAL, GREGORY 1.96 10.28 12.24 MCNEAL GREGORY Employee + Family Benefit Level 1 $12.24 $0.00 MERCADO, KARLA 1.96 10.28 12.24 MERCADO KARLA Employee + Family Benefit Level 1 $12.24 $0.00 Mierez, Ann 0.70 3.68 4.38 MIEREZ ANN Employee Only Benefit Level 1 $4.39 ($0.01) MIRANDA, SHANESA 0.70 3.68 4.38 MIRANDA SHANESA Employee Only Benefit Level 1 $4.39 ($0.01) NORENA, ELEANOR 1.96 10.28 12.24 NORENA ELEANOR Employee + Family Benefit Level 1 $12.24 $0.00 OZAYDIN, DINCER A 0.70 3.68 4.38 OZAYDIN DINCER Employee Only Benefit Level 1 $4.39 ($0.01) PECORARO, SHERRY 1.96 10.28 12.24 PECORARO SHERRY Employee + Family Benefit Level 1 $12.24 $0.00 PEGUERO, ULYSSES 0.70 3.68 4.38 PEGUERO ULYSSES Employee Only Benefit Level 1 $4.39 ($0.01) PEIRCE, LOGAN 0.70 3.68 4.38 PEIRCE LOGAN Employee Only Benefit Level 1 $4.39 ($0.01) Penate Roque, Delmis 1.96 10.28 12.24 PENATE ROQUE DELMIS Employee + Family Benefit Level 1 $12.24 $0.00 PEREZ, FRANK 1.34 1.34 7.00 8.34 PEREZ FRANK Employee + 1 Benefit Level 1 $8.33 $0.01 PETERSON, TERRY 1.34 1.34 7.00 8.34 PETERSON TERRY Employee + 1 Benefit Level 1 $8.33 $0.01 POLLARD, ALBERLEAN S 1.96 10.28 12.24 POLLARD ALBERLEAN Employee + Family Benefit Level 1 $12.24 $0.00 QUINTERO, JOHN 0.70 3.68 4.38 QUINTERO JOHN Employee Only Benefit Level 1 $4.39 ($0.01) REYES, EDDIE 1.34 1.34 7.00 8.34 REYES EDDIE Employee + 1 Benefit Level 1 $8.33 $0.01 Riera, Elora R 0.70 3.68 4.38 RIERA ELORA Employee Only Benefit Level 1 $4.39 ($0.01) RODRIGUEZ, FERNANDO 0.70 3.68 4.38 RODRIGUEZ FERNANDO Employee Only Benefit Level 1 $4.39 ($0.01) RODRIGUEZ, HAROLD 1.96 10.28 12.24 RODRIGUEZ HAROLD Employee + Family Benefit Level 1 $12.24 $0.00 RODRIGUEZ, MICHAEL S 1.96 10.28 12.24 RODRIGUEZ MICHAEL Employee + Family Benefit Level 1 $12.24 $0.00 RODRIGUEZ, RICHARD 1.96 10.28 12.24 RODRIGUEZ RICHARD Employee + Family Benefit Level 1 $12.24 $0.00 Ryan, Archibald J IV 1.96 10.28 12.24 RYAN ARCHIBALD Employee + Family Benefit Level 1 $12.24 $0.00 SABINO, DEBORAH 1.34 1.34 7.00 8.34 SABINO DEBORAH Employee + 1 Benefit Level 1 $8.33 $0.01 SALGADO, JOSE F 1.96 10.28 12.24 SALGADO JOSE Employee + Family Benefit Level 1 $12.24 $0.00 SALVINO, MARCO SR 0.70 3.68 4.38 SALVINO MARCO Employee Only Benefit Level 1 $4.39 ($0.01) SANCHEZ, CLAUDIA 1.34 1.34 7.00 8.34 SANCHEZ CLAUDIA Employee + 1 Benefit Level 1 $8.33 $0.01 SANTANA TORRES, JULIO M JR 0.70 3.68 4.38 SANTANA TORRES JULIO Employee Only Benefit Level 1 $4.39 ($0.01) SAUNDERS, JANICE L 1.34 1.34 7.00 8.34 SAUNDERS JANICE Employee + 1 Benefit Level 1 $8.33 $0.01 SEGAL, ADAM 1.96 10.28 12.24 SEGAL ADAM Employee + Family Benefit Level 1 $12.24 $0.00 Shahryar, Michelle M 1.34 1.34 7.00 8.34 SHAHRYAR MICHELLE Employee + 1 Benefit Level 1 $8.33 $0.01 SHELEY, CHERIE 0.70 3.68 4.38 SHELEY CHERIE Employee Only Benefit Level 1 $4.39 ($0.01) SINGH, MAXINE A 0.70 3.68 4.38 SINGH MAXINE Employee Only Benefit Level 1 $4.39 ($0.01) SPEAR, MITZIE P 0.70 3.68 4.38 SPEAR MITZIE Employee Only Benefit Level 1 $4.39 ($0.01) Spencer, Angela 0.70 3.68 4.38 SPENCER ANGELA Employee Only Benefit Level 1 $4.39 ($0.01) SPENCER, WILLIE 1.34 1.34 7.00 8.34 SPENCER WILLIE Employee + 1 Benefit Level 1 $8.33 $0.01 STEINER, MURRAY 0.70 3.68 4.38 STEINER MURRAY Employee Only Benefit Level 1 $4.39 ($0.01) STEVENS, TANIA A 1.34 1.34 7.00 8.34 STEVENS TANIA Employee + 1 Benefit Level 1 $8.33 $0.01 TAYLOR, CORRY G 0.70 3.68 4.38 TAYLOR CORRY Employee Only Benefit Level 1 $4.39 ($0.01) TERRAZAS, MONICA M 1.96 10.28 12.24 TERRAZAS MONICA Employee + Family Benefit Level 1 $12.24 $0.00 THOMAS, AHMAD 1.96 10.28 12.24 THOMAS AHMAD Employee + Family Benefit Level 1 $12.24 $0.00 UROW, BARBARA 1.34 1.34 7.00 8.34 UROW BARBARA Employee + 1 Benefit Level 1 $8.33 $0.01 VASTA, MICHAEL J 0.70 3.68 4.38 VASTA MICHAEL Employee Only Benefit Level 1 $4.39 ($0.01) WALTON, ERIC J 1.96 10.28 12.24 WALTON ERIC Employee + Family Benefit Level 1 $12.24 $0.00 WAREN, CASSANDRA 0.70 3.68 4.38 WAREN CASSANDRA Employee Only Benefit Level 1 $4.39 ($0.01) WASHINGTON JR, WILLIS B 1.96 10.28 12.24 WASHINGTON JR WILLIS Employee + Family Benefit Level 1 $12.24 $0.00 WEST, COKENYA D 1.96 10.28 12.24 WEST COKENYA Employee + Family Benefit Level 1 $12.24 $0.00 WESTBERRY, ANSON J 0.70 3.68 4.38 WESTBERRY ANSON Employee Only Benefit Level 1 $4.39 ($0.01) WHITE, DEON T 0.70 3.68 4.38 WHITE DEON Employee Only Benefit Level 1 $4.39 ($0.01) Williams Haney, Charles E JR 0.70 3.68 4.38 WILLIAMS HANEY CHARLES Employee Only Benefit Level 1 $4.39 ($0.01) WILLIAMS, BRYSHAWN 0.70 3.68 4.38 WILLIAMS BRYSHAWN Employee Only Benefit Level 1 $4.39 ($0.01) WILLIAMS, DARIUS 1.96 10.28 12.24 WILLIAMS DARIUS Employee + Family Benefit Level 1 $12.24 $0.00 WRITER, CYRUS 0.70 3.68 4.38 WRITER CYRUS Employee Only Benefit Level 1 $4.39 ($0.01) ZAPATA, MARLON 0.70 3.68 4.38 ZAPATA MARLON Employee Only Benefit Level 1 4.39 ($0.01) Grand Total 34.84 154.96 815.80 967.72